2026 NPPES data Gerontology Registered Nurse NPI 1225650542
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BRANDY SHELTON

Gerontology Registered Nurse in MADISONVILLE, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
8K
Medicare Part D claims · 529 beneficiaries · Gerontology Registered Nurse avg: 2K
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$1.4K
75 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BRANDY SHELTON reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 8,176 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
8K
Part D claims, 2023
71%
generic prescribing
$1.4K
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

BRANDY SHELTON's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about BRANDY SHELTON?

High performer (top quartile)

NPI registry status

Active

Issued 05/08/2020

NPI 1225650542

Primary specialty

Gerontology Registered Nurse

Niche

749 US NPIs in this specialty

Medicare Part D claims

8,176 375% vs specialty avg

2023 prescription claims

Specialty avg: 1,721

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Gerontology Registered Nurse compares to other specialties among Kentucky providers

Kentucky providers

Gerontology Registered Nurse share within Kentucky

1. Gerontology Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gerontology Registered Nurse share within Kentucky

Medicare quality performance — MIPS

BRANDY SHELTON's 2023 MIPS final score plotted against the Gerontology Registered Nurse national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gerontology Registered Nurse) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Gerontology Registered Nurse) — 100/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

BRANDY SHELTON appears in the CMS NPPES registry as a Gerontology Registered Nurse provider at 444 S MAIN ST, MADISONVILLE, KY, 42431, with a listed phone of (270) 821-4444. NPI 1225650542 was issued on 05/08/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHELTON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 8,176 prescription claims written by this provider, covering 529 Medicare beneficiaries and totaling roughly $2.5 million in drug spend, split 29% brand-name and 71% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Gerontology Registered Nurse is a narrow specialty nationwide, with 749 enrolled providers across 48 states and an average of 1,721 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

444 S MAIN ST
MADISONVILLE, KY 42431

Provider Details

NPI 1225650542
Specialty Gerontology Registered Nurse
Gender Female
NPI Issued 05/08/2020

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
100
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where BRANDY SHELTON bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

OWENSBORO HEALTH MEDICAL GROUP INC
MADISONVILLE, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for BRANDY SHELTON. Source: openpaymentsdata.cms.gov.

Total received

$1.4K

Largest payer

Novo Nordisk Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

BRANDY SHELTON — brand share 29.0%
Specialty average (est.)

29% brand-name claims vs 71% generic, on 8,176 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

8,176
Total Claims
$2.5M
Total Drug Cost
529
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,621
Total Day Supply
483,256
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$2.3M
Generic Drug Cost
$124K
Antibiotic Claims
181

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.34
Gender Split
61% female / 39% male
Age Distribution
<65: 109, 65-74: 242, 75-84: 142, 85+: 36

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What BRANDY SHELTON prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
471
Atorvastatin Calcium
294
Lisinopril
220
Metformin Hcl
194
Rosuvastatin Calcium
183
Jardiance
Empagliflozin
178
Mounjaro
Tirzepatide
172
Ozempic
Semaglutide
169
Pantoprazole Sodium
168
Farxiga
Dapagliflozin Propanediol
162

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Gerontology Registered Nurse Overview

How BRANDY SHELTON fits within the Gerontology Registered Nurse landscape nationally.

749
Gerontology Registered Nurse Providers in US
48
States with Gerontology Registered Nurse
1,721
Avg Claims per Provider

BRANDY SHELTON's 8,176 claims are above the specialty average of 1,721.

Nearby Gerontology Registered Nurse Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as SHELTON.

Compare Gerontology Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRANDY SHELTON's specialty?
BRANDY SHELTON specializes in Gerontology Registered Nurse and practices in MADISONVILLE, Kentucky.
How much does BRANDY SHELTON prescribe under Medicare Part D?
In 2023, BRANDY SHELTON wrote 8,176 Medicare Part D claims totaling $2.5M in drug costs for 529 beneficiaries.
What is BRANDY SHELTON's Medicare quality score?
BRANDY SHELTON has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRANDY SHELTON located?
BRANDY SHELTON is located at 444 S MAIN ST, MADISONVILLE, KY, 42431. Phone: (270) 821-4444.
What is BRANDY SHELTON's NPI number?
BRANDY SHELTON's National Provider Identifier (NPI) is 1225650542, issued on 05/08/2020.
Does BRANDY SHELTON prescribe more brand-name or generic drugs?
BRANDY SHELTON's prescribing is 29% brand-name and 71% generic drugs by claim count, with $2.3M in brand drug costs.
How many Gerontology Registered Nurse providers are there in the US?
There are 749 Gerontology Registered Nurse providers across 48 states in the US. The average Gerontology Registered Nurse provider writes 1,721 Medicare Part D claims per year.
What drugs does BRANDY SHELTON prescribe most often?
Based on 2023 Medicare Part D data, BRANDY SHELTON's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRANDY SHELTON accept Medicare?
BRANDY SHELTON appears in CMS Medicare data with 8,176 Part D claims and 529 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRANDY SHELTON's credentials?
BRANDY SHELTON's NPI is 1225650542. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology